Organization
PAKOLEA
Active
Other names
Big Island Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNA KA'IULANI RUSSELL DPT (OWNER)
(808) 935-5255
Entity
Organization
Contact information
Practice address
215-C RAILROAD AVE, BAYS 11-14, HILO, HI 96720-2990
(808) 935-5255
(808) 961-9044
Mailing address
PO BOX 6783, HILO, HI 96720
(808) 935-5255
(808) 961-9044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-3052
HI
261QR0400X
Rehabilitation Clinic/Center
Primary
PT-3052
HI
Other
Enumeration date
01/20/2010
Last updated
08/14/2025
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